MEDICARE: MR. EDWARD JACOBO MORONE PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT17740	FL

General Provider Information

NPI Number	:	1104963602
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. EDWARD JACOBO MORONE PT

Provider Business Mailing Address
First Line	:	4971 LE CHALET BLVD STE 100
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-1418
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1680 SE LYNGATE DR STE 203
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34952-4300
Country	:	US
Telephone Number	:	772-773-7055
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	10/03/2023

Similar Medicare Providers

1003882150 — DR. KAJAL DASGUPTA M.D.
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-2424
Practice Fax:

1881646115 — MS. MELISSA RYAN STRAUSS P.A.
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-2424
Practice Fax:

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1518631654 — PREMISE HEALTH OF FLORIDA MEDICAL PA
Practice Location Address:

1680 SE LYNGATE DR STE 101
PORT ST LUCIE, FL
34952-4300

Practice Phone: 352-483-9199
Practice Fax: 352-240-3907

1326006594 — AMEDISYS SOUTH FLORIDA, LLC
Practice Location Address:

1680 SE LYNGATE DR , SUITE 204
PORT ST LUCIE, FL
34952-4300

Practice Phone: 772-337-5117
Practice Fax: 772-337-6623

1770533598 — BIO-MEDICAL APPLICATIONS OF FLORIDA INC
Practice Location Address:

1680 SE LYNGATE DR , STE. 101 - BMA OF PT. ST. LUCIE
PORT ST LUCIE, FL
34952-4300

Practice Phone: 772-335-2407
Practice Fax: 772-335-8509

Directions to “ MR. EDWARD JACOBO MORONE PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.